POSITION PURPOSE:
Responsible for performing all processes related to Home Medical Equipment (HME) referrals including obtaining all necessary patient and prescription information, verification of insurance benefits, ensuring receipt of required documentation, entry of patient information and order information into the Brightree system, communication of delivery/pickup arrangements and financial responsibility, as well as other general office duties as assigned. Responds to Home Medical Equipment customer inquiries/concerns and performs research and follow-up in a timely, professional manner.
ESSENTIAL FUNCTIONS:
1. Adheres to the principles of caring and expected behaviors outlined in MercyOne Medical Center's Model of Caring and Trinity Health's Code of Conduct, fostering a climate where all customers are treated in a manner consistent with MercyOne Medical Center's Mission and Values.
2. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior.
3. Performs other duties consistent with purpose of job as directed.
4. Receives and processes inquiries and referrals from internal and external sources for products/services provided by MercyOne Clinton Home Medical Equipment utilizing appropriate policies, guidelines, and standards.
5. Provides pricing information, confirms medical criteria for equipment and investigates other equipment and supply needs with the referral source.
6. Performs reimbursement procedures related to HME such as insurance verification, obtaining physician orders and necessary documentation, etc. in a timely and accurate manner.
7. Assures all information is complete and accurate. Generates and enters order information into Brightree.
8. Ensures compliance with regulatory bodies such as CMS, The Joint Commission, and others.
9. Researches and responds to questions/concerns from customers and/or referral sources related to HME equipment.
10. Assists MercyOne Clinton Home Medical Equipment management to meet targeted operational benchmarks and quality indicators.
11. Participates in orienting, educating, and mentoring staff as necessary and requested.
12. Excellent verbal and written communication skills.
13. Ability to work with people in a professional, positive manner and positively promote Home Medical Equipment. Excellent interpersonal skills.
14. Effective computer skills.
15. Ability to work and make decisions and problem solve independently.
16. Responsive to the needs of internal/external customers and promotes customer satisfaction.
17. Adheres to the MercyOne Clinton Medical Center Citizenship Standards and Service Excellence Standards.
18. Ability to perform effectively under stressful situations with frequent interruptions to meet deadlines in a timely manner and with accuracy.
19. Able to organize, prioritize and function in a fast-paced environment.
MINIMUM EDUCATION, LICENSURE, CERTIFICATION, AND EXPERIENCE REQUIRED:
1. High school or equivalent graduate.
2. 1-2 years’ experience in a customer service and/or office area preferred.
3. Prefer background in home medical equipment or another related medical/health field.
4. Prefer background/experience in medical equipment, HME reimbursement/coverage and regulatory standards.
5. Medical terminology background preferred.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.